1. Functional capacity

2. Total Score: 0-12 It should be calculated by adding the Score in each one of the three parts of the test (Balance, Gait and Chair Stand) Decreases in 1 point regarding previous Scores in the same patient are of clinical relevance

3. Mortality rates according to single score (adjusted by age and sex) WalkChair StandsStanding Balance % Distribution 523252622 1920 191015131449 01234 Test Category 0123401234 Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94.

4. Age and Sex Adjusted Deaths per 100 Person–Years Performance Test Summary Score Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94. Mortality rates as a function of the overall score

5. Age and Sex Adjusted Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94. Insitutionalization rates as a function of the overall punctuation

6. Functional status at 4 years as a function of baseline gait velocity in non-disabled older people 0% Guralnik JM, et al. N Engl J Med. 1995; 332: 556-61.  0.42 0.43 – 0.590.60 – 0.77  0.78 Gait velocity (m/sec) Category1234 20% 40% 60% 80% 100% Status of disability (% of subjects) Iowa EPESE No disability Mobility affected Impairment in BADL + Mobility

7. Risk of falls/Risk of fractures NICE document to assess risk of falls FRAX INDEX to assess risk of fractures

8. COGNITIVE AND AFECTIVE ASSESSMENT

9. Take home messages DM impacts several functional domains. Function is the best predictor of adverse events in these patients. A comprehensive assessment of older people with DM must include not only classical clinical components but also function, cognition, mood, risk of falls and fractures, nutrition and social support. There are many validated instruments to assess all of those domains. They are easy to use, inexpensive and friendly for both the patient and the evaluator.